Active NPI
Christina P. Gibbs, MD
- Emergency Medicine Physician
- Russellville, AR
National Provider Identifier
1407546310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19677A
- Practice address
- 1808 W Main St
Russellville, AR 72801-2724 - Phone
- (479) 968-2841
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19677A | WY | Primary |
| Emergency Medicine Physician | 207P00000X | 61770 | AR | |
| Emergency Medicine Physician | 207P00000X | W4828 | TX |
Addresses
Primary practice location
1808 W Main St
Russellville, AR 72801-2724
Mailing address
201 Presidents Cir
Salt Lake City, UT 84112-9049
Other practice location 1
3055 NE Loop 286
Paris, TX 75460-3433
Phone (903) 739-2116
Other practice location 2
865 DeShong Dr
Paris, TX 75460-9313
Phone (903) 737-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240927001340 | UT | Order and Referring Only - Emergency Medicine | 5698206944 |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
265 Brookview Centre Way
Knoxville, TN 37919-4053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1407546310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PRESIDENTS CIR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841129049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012724",
"telephone_number": "479-968-2841"
}
],
"practiceLocations": [
{
"address_1": "3055 NE Loop 286",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "TX",
"postal_code": "754603433",
"country_code": "US",
"telephone_number": "903-739-2116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "865 DeShong Dr",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "TX",
"postal_code": "754609313",
"country_code": "US",
"telephone_number": "903-737-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBBS",
"first_name": "CHRISTINA",
"middle_name": "P.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-12",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WY",
"license": "19677A",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "61770",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "W4828",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.